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Gadobutrol

Phase 2

Known or Highly Suspected Central Nervous System (CNS) Lesion | Small molecule | Neurology |GE HealthCare Technologies Inc.|Last Updated: May 18, 2026

Success Probability

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLEDBiomarker
Total Trials1
Total Enrollment640

FDA Designations

No designations recorded

Clinical trial landscape

Gadobutrol · 1 trial · 2 indications

Phase 2 1
NCT07472491A Phase 2/3 Study on the Efficacy and Safety of Mangaciclanol for Contrast-Enhanced MRI of CNS or Body in Adult PatientsKnown or Highly Suspected Central Nervous System (CNS) Lesion
RECRUITING640 Analytics
PHASE2RECRUITING
A Phase 2/3 Study on the Efficacy and Safety of Mangaciclanol for Contrast-Enhanced MRI of CNS or Body in Adult Patients
Known or Highly Suspected Central Nervous System (CNS) LesionUnlock trial analytics

Study Endpoints

Primary Endpoints

Phase 2 Primary Endpoint - Overall diagnostic preference
4-47 days

Overall diagnostic preference based on global matched pairs reads according to a 3-point scale that is derived from a 5-point scale (1 = greatly prefer mangaciclanol/prefer mangaciclanol, 0 = no preference, -1 = prefer gadobutrol/greatly prefer gadobutrol), as evaluated by 3 blinded independent readers.

Phase 3 Primary Endpoint - Lesion visualization criteria
4-74 days

Lesion visualization criteria (lesion border delineation, internal morphology and degree of lesion contrast enhancement) for paired (unenhanced plus mangaciclanol-enhanced) MRIs compared to unenhanced MRI based on the primary reads on a 4-point scale (1 = poor / none; 2 = moderate; 3 = good; 4 = excellent) for up to 3 of the most representative lesions.

Secondary Endpoints

Phase 2 Secondary Endpoint - Lesion visualization criteria
4-47 days
Phase 2 Secondary Endpoint - Number of lesions
4-47 days
Phase 2 Secondary Endpoint - Technical adequacy of images for diagnosis
4-47 days
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelCROSSOVER
PurposeDIAGNOSTIC

Treatment Arms

ArmTypeDescription
Phase 2ACTIVE_COMPARATORAn initial dose of 0.1 mmol/kg mangaciclanol will be compared to the standard dose of gadobutrol (0.1 mmol/kg) in Cohort 1, in approximately 60 participants. A second cohort (Cohort 2) may be initiated based on the outcome of the analysis of Cohort 1. This cohort will include approximately 60 participants (higher or lower dose), or 30 participants (same dose), depending on the dose of mangaciclanol selected for further evaluation.
Phase 3 mangaciclanol-gadobutrolACTIVE_COMPARATORParticipants with known or highly suspected lesions of CNS or body, randomized to receive treatment sequence mangaciclanol (V2) followed by gadobutrol (V4)
Phase 3 gadobutrol-mangaciclanolACTIVE_COMPARATORParticipants with known or highly suspected lesions of CNS or body, randomized to receive treatment sequence gadobutrol (V2) followed by mangaciclanol (V4)

Interventions

NameTypeDescription
Mangaciclanol, also known as GEH200486 Injection, 0.5 mmol/mLDRUGSingle intravenous (IV) administration of Mangaciclanol (GEH200486 Injection, 0.5 mmol/mL) followed by a 20mL saline flush
MRI ScanDIAGNOSTIC_TESTMRI Scan starting prior to IMP administration and continuing for up to 60 minutes post IMP administration
GadobutrolDRUGSingle intravenous (IV) administration of Gadobutrol (0.1 mmol/kg) followed by a 20mL saline flush
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites5

Inclusion Criteria: * The participant is of legal majority age, as defined by local laws and regulations at the time of signing the ICF. * The participant is able and willing to comply with study procedures as described in the protocol. * The participant has read, understood, signed and dated the I...

Countries:United StatesGeorgiaMoldova
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Frequently asked questions about Gadobutrol

What is Gadobutrol used for?

Gadobutrol is an investigational small molecule being studied for use in patients with a known or highly suspected central nervous system (CNS) lesion. It is being evaluated as a contrast agent for magnetic resonance imaging (MRI) to help visualize CNS lesions in adult patients.

Who makes Gadobutrol?

Gadobutrol is being developed by GE HealthCare Technologies Inc., which trades under the ticker GEHC. The company is conducting clinical research to evaluate the drug's efficacy and safety for contrast-enhanced MRI in patients with known or suspected CNS lesions.

What phase is Gadobutrol in?

Gadobutrol is currently in Phase 2 clinical development. It is being studied in a Phase 2/3 trial that is actively recruiting participants. The drug is investigational and has not been approved by regulatory authorities for commercial use.

What clinical trials is Gadobutrol in?

Gadobutrol is being evaluated in clinical trial NCT07472491, a Phase 2/3 study on the efficacy and safety of Mangaciclanol for contrast-enhanced MRI of CNS or body in adult patients. This randomized, double-blind, active-controlled trial is recruiting 640 participants across the United States, Georgia, and Moldova.

How does Gadobutrol work?

Gadobutrol is a contrast agent used in magnetic resonance imaging (MRI). It works by enhancing the visibility of central nervous system lesions during imaging procedures, allowing for better detection and characterization of abnormalities in the brain and other CNS structures.